ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Relieving cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Other actions follow to support delivery.
Extract:
Several clients.
Question 2 of 5
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: A
Rationale:
Tocolytics are safe and effective for preterm labor at 26 weeks to delay delivery. They're contraindicated or unnecessary in fetal death, post-term, or Braxton-Hicks cases.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 3 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: B
Rationale: Hyperinsulinemia from maternal hyperglycemia impairs surfactant synthesis, causing respiratory distress. Anemia, viscosity, and nerve injuries don't directly cause RDS.
Extract:
A client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding.
Question 4 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: D
Rationale: Abruptio placentae causes painful bleeding and is associated with hypertension, unlike painless previa, cord prolapse, or painless cervical issues.
Extract:
Clients at risk for early postpartum hemorrhage (PPH).
Question 5 of 5
Which client is at greatest risk for early postpartum hemorrhage (PPH)?
Correct Answer: C
Rationale: Multiparity and rapid labor increase uterine atony risk, the primary cause of early PPH. Other conditions pose lower or different risks.